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While the rates of cigarette smoking have declined over the past several decades, from 42% in 1965 to 14% in 2019, the gains have been inconsistent, the American Cancer Society stated
Cross-sectional studies have shown a higher prevalence of symptoms such as chest pain, palpitations, and arrhythmias in ENDS users (66)

1,4 A 2022 meta-analysis confirmed that sperm counts have declined over 50% since the 1970s, with the rate of decline accelerating in the 21st century

Smokeless tobacco weakens sense of taste

The ALA also has advocated for Arizona to enact a statewide tobacco retailer licensing system and to oppose all forms of statewide preemption for the sales or use of tobacco products
